Leafield JD Limited, a small case management domiciliary care service in Rotherham, received a Good rating across all five key questions at its first inspection in July 2023. One recommendation was made to strengthen medicines administration record audits, but no regulatory breaches were identified.
Concerns (2)
minor
Medication management
: “we identified some recording errors that had not been picked up by the provider's quality assurance process.”
minorGovernance: “We recommend the provider review the process for completion of MAR's and their medicines management audits to ensure they provide clear oversight.”
Strengths
· People and their relatives were fully involved in the recruitment process and had access to experienced, qualified case managers.
· Strong focus on rehabilitation and increasing independence, with bespoke training from specialist health professionals.
· Consistently positive feedback from people and relatives about kindness, respect, and person-centred care.
· Exceptionally positive approach to partnership working with a wide range of specialist clinicians and professionals.
· Robust incident recording and investigation processes with lessons learned actioned.
Quality-Statement breakdown (23)
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongGood
safe: Staffing and recruitmentGood
safe: Preventing and controlling infectionGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportNot rated
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service; Continuous learning and improving careGood